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NPI Code Detail

MEDICARE: CALLIE PHERIGO

MEDICARE: CALLIE PHERIGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1598619306
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLIE PHERIGO
Provider Business Mailing Address
First Line : 2622 E 21ST ST STE 2
Second Line :
City : TULSA
State : OK
Zip : 74114-1738
Country : US
Telephone Number : 918-895-7680
Fax Number :
Provider Business Practice Location Address
First Line : 2622 E 21ST ST STE 2
Second Line :
City : TULSA
State : OK
Zip : 74114-1738
Country : US
Telephone Number : 918-895-7680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “ CALLIE PHERIGO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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